How therapy approaches translate to online care

Acceptance and Commitment Therapy, or ACT, invites people to notice painful thoughts and feelings without getting stuck in them. It uses mindfulness and values-based actions to help someone move toward the life they want despite hard feelings. Cognitive Behavioral Therapy, or CBT, focuses on identifying unhelpful thinking and testing new, more helpful behaviors to reduce symptoms like anxiety or depression. Emotionally-Focused Therapy centers on how emotions shape relationships and communication, helping people name feelings and build healthier interaction patterns.

Finding the right approach is part of the work. Roxanne will collaborate with each person to see which methods fit their goals, needs, and day-to-day life. That means trying tools together, checking what helps, and adjusting the plan as progress is made.

Online formats offer practical options for busy lives. Video calls allow face-to-face conversation and body language cues, phone sessions can be easier when bandwidth is low, live chat works for brief check-ins, and text messaging supports ongoing reflections between meetings. These options make it easier to schedule regular sessions, practice skills in real time, and maintain continuity during life transitions or changes in routine.